Individual provider Active NPI

Patricia Boylen, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1043746480
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73567 Issued in TX
Practice address
5510 Abrams Rd
Suite 120
Dallas, TX 75214-2000
Phone
(214) 208-7469
Fax
(866) 296-6406
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73567 TX Primary

Addresses

Primary practice location

5510 Abrams Rd
Suite 120
Dallas, TX 75214-2000

Mailing address

5510 Abrams Rd
Suite 120
Dallas, TX 75214-2000
Phone (214) 208-7469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
73567TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Counseling & Wellness, LLC Professional Current Accepting new patients

Locations

17177 Preston Rd
Ste 140
Dallas, TX 75248
Phone (469) 340-1116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1043746480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ABRAMS RD",
            "address_2": "SUITE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142000",
            "telephone_number": "214-208-7469",
            "fax_number": "866-296-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ABRAMS RD",
            "address_2": "SUITE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142000",
            "telephone_number": "214-208-7469",
            "fax_number": "866-296-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLEN",
        "first_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.